Document 0324 DOCN M9550324 TI [Pneumocystis carinii pneumonia with recurrent pneumothorax and pleuritis] DT 9505 AU Theegarten D; Philippou S; Zaboura G; Abteilung fur Pathologie, Ruhr-Universitat Bochum. SO Pneumologie. 1994 Dec;48(12):837-40. Unique Identifier : AIDSLINE MED/95148517 AB A report on three HIV-positive patients with recurrent pneumothorax in pneumocystis carinii pneumonia on whom partial parietal pleurectomy and in two cases also a wedge-shaped pulmonary resection were performed. Histology revealed granulomatous necrotising pneumonia involving the visceral pleura, and a partly honeycomb-shaped metaplasia of the pulmonary tissue. A fibrinous and partly granulomatous necrotising pneumocystis carinii pleuritis of both pleural membranes was seen, being the morphological correlate of an in all cases prolonged exudation to the pleural cavity. Conservative treatment remained unsuccessful due to the marked lung and pleura involvement in the inflammatory process, necessitating surgical revision. DE Adult AIDS-Related Opportunistic Infections/PATHOLOGY/RADIOGRAPHY/ *SURGERY Case Report English Abstract Human Lung/PATHOLOGY Male Middle Age Pleura/PATHOLOGY/SURGERY Pleurisy/PATHOLOGY/RADIOGRAPHY/*SURGERY Pneumonectomy Pneumonia, Pneumocystis carinii/PATHOLOGY/RADIOGRAPHY/*SURGERY Pneumothorax/PATHOLOGY/RADIOGRAPHY/*SURGERY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).